| 彭影,方政,赵婷婷,等.腹腔镜下腹壁悬吊术及髂耻韧带悬吊术治疗盆腔脏器脱垂效果的比较[J].安徽医药,2020,24(2):292-295. |
| 腹腔镜下腹壁悬吊术及髂耻韧带悬吊术治疗盆腔脏器脱垂效果的比较 |
| Acomparison of therapeutic effects of two kinds of laparoscopic surgery for pelvic organ prolapse |
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| DOI：10.3969/j.issn.1009?6469.2020.02.020 |
| 中文关键词: 盆腔器官脱垂 腹腔镜检查 子宫脱垂 子宫腹壁悬吊术 髂耻韧带固定术 |
| 英文关键词: Pelvic organ prolapse Laparoscopy Uterine prolapse Uterine abdominal wall suspension Laparoscopic pectopexy |
| 基金项目:安徽省高等学校省级质量工程项目( 2017zhkt255) |
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| 中文摘要: |
| 目的比较腹腔镜下腹壁悬吊术及髂耻韧带悬吊术治疗盆腔脏器脱垂的效果。方法选取 2015年 10月至 2017年 12月中国科学技术大学附属第一医院(安徽省立医院)收治的 100例盆腔脏器脱垂病人作为研究对象，按照手术方法将其分为对照组和观察组，对照组 50例，采取腹腔镜下腹壁悬吊术进行治疗，观察组 50例，采取腹腔镜下髂耻韧带固定术进行治疗，比较两组临床疗效。结果观察组病人出血量( 5.34±1.27)mL低于对照组( 50.26±6.95)mL，差异有统计学意义( P＜0.05)，手术时间及住院时间差异无统计学意义；对照组术中并发症 1例，腹部牵拉痛 2例，张力性尿失禁 2例，复发 1例，观察组尚未发现并发症情况。结论两种手术方式均能有效治疗盆腔脏器脱垂，腹腔镜下髂耻韧带固定术能够在保证病人安全的前提下减少出血量、复发率及术后并发症，更具有优势。 |
| 英文摘要: |
| Objective To compare the effects of laparoscopic abdominal wall suspension and laparoscopic pectopexyin the treat?ment of pelvic organ prolapse.Methods A hundred patients with pelvic organ prolapse admitted to The First Affiliated Hospital ofUniversity of Science and Technology of China(Anhui Provincial Hospital)from October 2015 to December 2017 were selected as the research objects.The patients were assigned into observation group and control group according to the random number tablemethod.The control group received laparoscopic abdominal wall suspension for treatmentwhile theobservation group was treatedwithlaparoscopic pectopexy.Therapeutic effects were compared between the two groups.Results The amount of blood loss in the ob? servation group was lower than that in the control group［( 5.34±1.27)mL vs.(50.26±6.95)mL］，and the difference was statistically significant(P＜0.05).There were no significant differences in operation time and hospital stay.In the control group，1 patient had intraoperative complication，2 patients had abdominal traction pain，2 patients hadstress urinary incontinence，and 1 patient hada re? currence.No complications or recurrence were found in the observation group.Conclusion Both of the two surgical methods can ef? fectively treat pelvic organ prolapse.Laparoscopic pectopexy can reduce blood loss，recurrence rate and postoperative complications on the premise of ensuring the safety of patients，which is more advantageous. |
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